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Ellen Lord, RN,MA,CAC-R,CCM

NPI 1598973182 · on the registry since 2007 · sole proprietor

Practice

Address
1005 May St Ste A
Charlevoix, MI 49720
Phone
(231) 883-7738
Fax
(231) 588-7030
Organisation at this address
Mirrored Waters Counseling
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
163WC0400X
163WC0400X
Also registered as
101YA0400X
163WA0400X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-11-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan